Active NPI
Grace Petrykowski
- Optometrist
- El Paso, TX
National Provider Identifier
1316873243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11686
- Practice address
- 1616 Pike Rd
El Paso, TX 79906-3412 - Phone
- (915) 566-8639
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11686 | TX | Primary |
Addresses
Primary practice location
1616 Pike Rd
El Paso, TX 79906-3412
Mailing address
11096 Crosseto Dr
Las Vegas, NV 89141-3991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1316873243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11096 CROSSETO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 PIKE RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799063412",
"telephone_number": "915-566-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRYKOWSKI",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.